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SANTA 4kRA COUNTY DEPARTMENT OF 64RONMENTAL HEALTH <br /> PO]ULTRY RANCH INSPECTION FORM <br /> Vector Control District,976 Lenzen Avenue,San Jose,California 95126(408)792-5010 <br /> Hazardous Materials and Compliance Div.,2220 Moorpark San Jose,California 95128(408)299-6930 <br /> Name: OLIVERA EGG FARM Inspection Date: a / / Time: <br /> !�S* <br /> Address: 4140 CANADA RD.,GILROY wner: OLIVERA FOODS,Ed OlJr. <br /> This poultry operation is subject to provisions of the California Health and Safety Code. Failure to correct the unsatisfactory <br /> condition(s)by the indicated date will result in administrative and legal remedies. <br /> [inspector subjective ratings: 1=slight,3=moderate,5=severe/2&4 are ratings above and below moderate. <br /> jUection Category(S=Satisfactory,NI=Needs Imprmovement and U=Unsatisfacto <br /> Insnee tion Faint/Status S NI U Correction needed&date: <br /> a. Water leaks <br /> b. Structure clean-up <br /> c.Tractor clean-up l <br /> d. General structures <br /> e.Adult fly population: <br /> L Clean-out under building <br /> g.Manure management plan <br /> Jell <br /> b.Feed spill clean-up <br /> i. Loading pad clean-up , <br /> J. Dead bird management <br /> k.Waste egg disposal <br /> 1. Odor level [ l to 5]0ow to high) [ ] <br /> Vector Control: Spot count cards replaced—date&time: • <br /> —FIX-Rot of counts:egg room: It #i,front: 2,front: #l,rear: #2,rear: rd <br /> Larva/Pupa observations: +� <br /> • <br /> Last Sprayed for flies: / / .LWhere: w t used: • <br /> Compliance requirements: <br /> a ® 6-4LI <br /> dr • A <br /> f • <br /> • <br /> O <br /> REIDgEECTION DATE: • <br /> WOR,MIRmaknal conip- a—we'-- <br /> fhme peretor t tdo <br />